General Information

In cooperation with Norton Books, the JournaLearning International Home Study Program is now available for use by psychologists and other interested professionals who wish to obtain 8.5 hours of continuing education credit. The test consists of multiple choice questions covering all the chapters. Each question has one correct answer. Participants must correctly answer 75% of the questions in this test to receive credit. Partial credit (less than 8.5) hours will not be given. Documentation of CE credit will be provided to all participants who successfully complete the test. An individual who fails the test on the first attempt may take it one additional time after careful review of the material. Licensed mental health professionals who are completing the Program as part of their respective state licensure requirements are urged to send in the completed test well in advance of their deadlines. We recommend that you allow three to six weeks for mailing and processing. Please fill out all of the personal information on the form, (i.e. name, address, etc.) and sign on the line certifying your completion of the test.

Information on Continuing Education Credit

Please allow 3 to 6 weeks for notification of your results, and if you pass, your letter of completion for 8.5 credits. You may want to keep a copy of this test as a record for your certifying agency. JournaLearning International is approved by the American Psychological Association to offer continuing education for psychologists. JournaLearning International maintains responsibility for the program. JournaLearning International is an approved provider of Continuing Education by the Florida Board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling. Florida Provider Number CM-671 Exp. 1/2001. JournaLearning International is approved by the National Board for Certified Counselors to offer continuing education for National Certified Counselors. This home-study program has been approved by the NBCC for 8.5 hours of continuing education credit for NCCs, subject to continued approval by NBCC. NBCC provider #5635. This course meets the qualifications for 8.5 hours of continuing education credit for MFCC's and LCSW's as required by the California board of Behavioral Sciences - Provider #PCE 127. Although we collaborate with Norton Books, JournaLearning International is a separate entity and retains sole responsibility for this home-study program.

*Many states will accept programs approved by the APA, NBCC and California and Florida Boards. Check your local rules.

Requested Survey Information

1. I chose a home study instead of a workshop because it (check all that apply):
___takes less time from my work.
___helps me learn better.
___circumvents the problem of living in an area where workshops are not
frequently offered.
___other_________________________________________

2. How did you find out about this home study program?
___received a mailing
___saw an ad in__________________________________
___saw it in the book after purchasing it
___a friend/colleague told me
___other _________________________________________

3. Please send us any additional comments you might have about this program, its usefulness to you, the format, etc.

Acceptance and Change in Couple Therapy - Home Study Course Objectives

Participants will learn:
__ To understand how traditional behavioral therapy has been adapted to include promotion of acceptance.
__ To recognize the transformation a couple makes from a loving relationship to one plagued by apparent incompatibilities.
__ To master the skills for developing the core element of integrative couples therapy.
__ To understand the assessment and feedback steps, which provide the raw material for formulations.
__ To understand the context of integrative couples therapy and the ordering and sequencing of its recomended interventions.
__ To master acceptance strategies as a tool to foster a fundamentally new experience of the presenting prolem.
__ To learn about clinical strategies for promoting tolerance.
__ To generate strategies for effectively using and enhancing compliance with homework tasks.
__ To develop strategies for teaching communication skills and understand the role of such strategies in integrative couples therapy.
__ To recognize the additional challenges that diversity issues bring to integrative couples therapy.
__ To recognize the challenges of treatment involving special problems such as substance abuse, extra-marital affairs and one partner's depression.

Instructions for Test Takers

Following these instructions, you will find the Home/Independent Study test questions.
1. Please use dark ink.
2. For each test question, fill in the circle next to the letter which corresponds to the correct answer. Do NOT underline or circle the correct answer.
3. Make a copy of the questions and answers for your own records, as the copy you send to us will not be returned.
4. When you have completed the entire test, please be sure to sign the certification statement at the top of the page labeled "Certification Page." Please also make sure all information requested on this Certification Page is filled out and legible. If this is not done, the questions and answers will be returned to you unscored.
5. In order for us to properly complete the processing of your test, and for you to receive credit, please make sure all information accompanying the test is filled out and legible.
6. Return this entire form with $65 to: JournaLearning International, P.O. Box 1310, Clackamas, OR 97015

Please send any questions or correspondence about this home study program directly to JournaLearning International at the address on the back of this form or send an email to: books@journalearning.com. We will be happy to respond promptly. Copyright © 1999 JournaLearning International. All rights reserved.

Chapter 1: From Change to Acceptance

1. The two major components in behavioral treatment were:
__ a. attacking irrational beliefs and practicing positive self-talk
__ b. behavior exchange and communication problem-solving training
__ c. exploring family of origin issues and healing
childhood wounds
__ d. fostering acceptance and promoting change

2. CPT refers to:
__ a. short-term changes that encourage partners to work on longer-term issues
__ b. an emphasis on presenting problems
__ c. communication and conflict resolution skills
__ d. a biological component focusing on altering brain waves

3. Acceptance means:
__ a. eradicating problems for greater closeness
__ b. using problems to create greater closeness
__ c. avoiding problems
__ d. compromising for greater closeness

4. Acceptance and Change in Couple Therapy varies from other methods in its use of:
__ a. confrontation
__ b. didactics and psychoeducation
__ c. acceptance of conflict, including physical aggression
__ d. validation and compassion without confrontation

Chapter 2: From Love to War

5. Mates select each other based on:
__ a. healing unresolved childhood wounds
__ b. the exchange of reinforcement
__ c. the desire for homogamy
__ d. the desire for heterogamy

6. Once incompatibilities lead to a lack of reinforcement or negative stimulation, conflicting desires lead to coersion through:
__ a. the coersive partner receiving negative reinforcement for his or herdisplay of aversiveness
__ b. the coersive partner receiving positive reinforcement
__ c. the other partner receiving positive reinforcement for complying
__ d. the lack of intermittent enforcement

7. A couple's management of their incompatibilities is influenced by:
__ a. behavioral repertoires and conflict resolution skills
__ b. unconscious attractions based on childhood imprints
__ c. learning history
__ d. none of the above

Chapter 3: The Formulation

8. The overarching goal in Acceptance and Change in Couple Therapy is to help couples:
__ a. share desirable personality traits
__ b. improve conflict resolution skills
__ c. adopt the therapist's formulation
__ d. enhance stress-free circumstances

9. The components of an Acceptance and Change in Couple Therapy formulation include a theme, a polarization process, and a mutual trap.
__ True __ False

10. Couples enter therapy when they are:
__ a. unsuccessful at communication
__ b. failing at conflict resolution
__ c. paralyzed by their differences and incompatibilities
__ d. polarized by each one's simultaneous attempt to change the other

11. Feeling a partner's entrapment:
__ a. is therapeutic only if one can experience that partner's stuckness
__ b. enhances closeness even when it is only understood intellectually
__ c. creates further rage in the one who feels the partner created the problem
__ d. leads to a mutual feeling of futility and hopelessness

Chapter 4: Assessment and Feedback

12. Ideally, assessments begin by initially meeting with each member of the couple individually.
__ True __ False

13. Among the instruments used by Acceptance and Change in Couple Therapy therapists is the Marital Status Inventory, which:
__ a. monitors treatment progress
__ b. assesses domestic violence
__ c. provides a quantitative index of marital distress
__ d. assesses commitment to the relationship

14. During assessment, the therapist may decide how treatment will proceed after determining:
__ a. what the issues are that divide them
__ b. the division of power within the relationship
__ c. how distressed the couple is
__ d. what treatment can do to help them

15. The less the commitment of the couple, the more likely the therapist is to focus on:
__ a. compromise
__ b. collaboration
__ c. acceptance
__ d. accommodation

16. Focusing on the couple's pain when giving them feedback can:
__ a. serve as a bridge to healing it
__ b. exacerbate one partner's displeasure
__ c. reduce the tension by validating their feelings
__ d. have iatrogenic effects

Chapter 5: Overview of Acceptance and Change in Couple Therapy

17. The most basic decision an Acceptance and Change in Couple Therapy therapist makes is whether to focus on:
__ a. acceptance or compromise
__ b. change or acceptance
__ c. controlling or derivative variables
__ d. the pair's presenting problem or core issue

18. Sometimes acceptance work alone is sufficient because:
__ a. it alleviates the tension that exacerbated conflict
__ b. it creates a more realistic context in which to resolve tensions
__ c. neither partner is as dependent on the changes she or he originally sought
__ d. it leads to spontaneous change in the relationship

19. Acceptance and Change in Couple Therapy therapists should:
__ a. not get distracted from their overall plan for a session
__ b. resist shifting back and forth between the two partners
__ c. give priority to a partner's most recent remark over the broader overall plan
__ d. maintain a balance between each partner's needs

Chapter 6: Enhancing Intimacy Through Acceptance

20. Communication skills training:
__ a. has only modest success because its use during conflict is unnatural
__ b. is correlated with increased levels of marital satisfaction in two-year studies
__ c. correctly assumes universal rules for good couple communication
__ d. recognizes the consistently positive response a
partner has when hearing "I" statements

21. The best time to deal with slip-ups is when:
__ a. one has just occurred
__ b. things are going well
__ c. the couple feels it has overcome them
__ d. at least one partner expresses confidence in handling them

22. Unified detachment uses:
__ a. acceptance
__ b. empathy and compassion
__ c. an intellectual analysis of the problem
__ d. catharsis

23. The two concepts that "unify" detachment interventions are description
and continuity.
__ True __ False

24. Empathic joining and unified detachment:
__ a. serve different functions and are best elicited separately
__ b. can confuse a couple when used together
__ c. can successfully be combined
__ d. are inherently mutually exclusive

Chapter 7: Emotional Acceptance Through Building Tolerance

25. Acceptance and Change in Couple Therapy therapists help clients in session to create contextual shifts, meaning a shift in:
__ a. the context in which stimulus is experienced
__ b. tolerance interventions
__ c. intimacy-enhancing acceptance
__ d. the couple's collective and individual learning histories

26. Tolerance building utilizes the tool of:
__ a. reframing a couple's differences in terms of positive features of negative behavior
__ b. minimizing differences in favor of similarities
__ c. "positive connotation"
__ d. strategic reformulations

27. The Acceptance and Change in Couple Therapy therapist expects that partners' ability to have a therapeutic conversation in session:
__ a. will generalize to the home environment
__ b. will help to prevent slip-ups at home
__ c. has symbolic but little practical value at home
__ d. changes the context and, therefore, the nature of most arguments at home

28. Self-care techniques disgruntled partners should avoid are:
__ a. time-outs
__ b. unilateral assertiveness
__ c. social support
__ d. dependent upon the couple's style

Chapter 8: Behavior Exchange Strategies

29. Reinforcement erosion is:
__ a. a pathological process through habituation
__ b. a natural process in which behaviors become decreasingly reinforcing
__ c. a common experience of couples in communication, though not in sex
__ d. a problem that is usually exacerbated in relationships following the birth of a child

30. Behavior Exchange (BE) is most useful:
__ a. at the start of treatment for couples lacking a collaborative set
__ b. following acceptance work
__ c. as a primary tool in Acceptance and Change in Couple Therapy
__ d. instead of Acceptance and Change in Couple Therapy when couples lack the ability to compromise and accommodate

31. A first assignment might involve:
__ a. having each partner determine what she or he could do to increase the other's marital satisfaction
__ b. having each partner make a list of what would increase his or her marital satisfaction
__ c. generating a list of behaviors each wishes the other would eliminate or reduce
__ d. generating one wish for an improved behavior from the other

32. In Acceptance and Change in Couple Therapy, a couple's noncompliance with a homework assignment means that the therapist gave the wrong assignment or the assignment was not delivered properly.
__ True __ False

Chapter 9: Communication and Conflict Resolution Training

33. Couples taught conflict resolution skills:
__ a. practice these techniques long after treatment has ended
__ b. may or may not benefit from them
__ c. prefer using less structured techniques to resolve conflict
__ d. respond positively to a concrete method of reducing distress

34. The authors find communication training:
a. the foundation of successful couples' work
b. useless
c. limited
d. essential for almost all couples

35. The problem definition phase and problem solution phase of PST should:
a. never overlap
b. move back and forth to clarify as needed
c. remain distinct unless one partner requests a shift
d. be preceeded by a cooling off period

36. If couples use derogatory adjectives during PST, they:
__ a. should return to the definition phase
__ b. probably aren't ready to use this technique
__ c. are venting feelings necessary to moving on to a calmer discussion
__ d. can be gently encouraged to shift to more neutral language

37. The focus of problem solving should be:
__ a. improving communication
__ b. defining concrete, limited problems
__ c. future oriented
__ d. resolving past differences

Chapter 10: Diversity in gender, culture, ethnicity, class and sexual orientation: Clinical Implications

38. Marriage is more beneficial to women.
__ True __ False

Chapter 11: Special Problems and Considerations

39. Almost 50 per cent of all couples seeking treatment have engaged in
physical aggression in the previous year.
__ True __ False

40. When an ongoing affair is revealed, an Acceptance and Change in Couple Therapy therapist will:
__ a. require a contract from the perpetrator agreeing to end the affair
__ b. encourage disclosure while using acceptance work
__ c. terminate treatment until the affair is ended
__ d. insist on individual treatment for each partner

Satisfaction Evaluation

Please rate the following 13 statements on a scale of 1 to 5 (1-strongly disagree, 5-strongly agree):
___The information was well presented.
___I learned something useful to my profession.
___I read/bought this book because I could get CEcredit.
___I would recommend this home study to others.
___I would recommend this book to others.
___The material was consistent with the stated objectives.
___The information could contribute to achieving personal and/or professional goals.

The program met the stated learning objectives:
___To understand how traditional behavioral therapy has been adapted to include promotion of acceptance.
___To recognize the transformation a couple makes from a loving relationship to one plagued by apparent incompatibilities.
___To master the skills for developing the core element of Acceptance and Change in Couple Therapy.
___To understand the assessment and feedback steps, which provide the raw material for formulations.
___To understand the context of Acceptance and Change in Couple Therapy and the ordering and sequencing of its recommended interventions.
___To master acceptance strategies as a tool to foster a fundamentally new experience of the presenting problem.
___To learn about clinical strategies for promoting tolerance.
___To generate strategies for effectively using and enhancing compliance with homework tasks.
___To develop strategies for teaching communication skills and understand the role of such strategies in Acceptance and Change in Couple Therapy.
___To recognize the additional challenges that diversity issues bring to Acceptance and Change in Couple Therapy.
___To recognize the challenges of treatment involving special problems such as substance abuse,extra-marital affairs and one partner's depression.

Needs Assessment for Home-Study Continuing Education Program.

The JournaLearning International CE Committee would very much appreciate your taking a few moments to fill this out. We need information about the topic(s) you would be interested in studying and books or periodicals you would be interested in reading for CE credit- whether you are a practitioner, scientist, academician or some combination of these. If you are taking the test, please include this form with your materials, and mail the completed survey to:

JournaLearning International
P.O. Box 1310,
Clackamas, Oregon 97015

1. Have you ever taken a JournaLearning International CE course or workshop before?
___ Yes ___ No ___ Don't Know

2. Please check if you would be interested in a home study that addresses any of the following:
___ Issues in Child Psychology
___ Research/Statistics/Measurement
___ Domestic Violence-Women/Children
___ Domestic Violence- Men
___ Legal Issues/Ethics
___ Cultural/Minority Issues
___ Organizational/Administration
___ Technology and Psychology
___ Substance Abuse
___ Teaching/Supervision
___ Counseling/Therapy Skills
___ Other______________________________________

3. Please list any professional publications or books for which you would like to be able to receive CE credits, and which you believe contain articles relevant to the Continuing Education of counselors and psychotherapists:

________________________________________________

________________________________________________

________________________________________________

4. Please indicate below, any subjects that you would find interesting/relevant enough to attend a conference on, where travel may be required:

_________________________________________________

_________________________________________________

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